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Oklahoma Board of Medical Licensure and Supervision

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MASHBURN, MARK ANTHONY       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: ST JOHN MEDICAL CENTER
OCCUPATION & SPORTS REHAB
1923 S UTICA AVE
TULSA OK 74104
Phone #:
Fax #:
County: TULSA
License: 1355
Dated: 4/26/1986
Expires: 1/31/1988
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
ST JOHN MEDICAL CENTER
OCCUPATION & SPORTS REHAB
1923 S UTICA AVE
TULSA OK 74104

Phone #:
Fax #:

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